Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Encinitas › NPI 1154525590
Clinic

Carlos R Chong a Professional Dental Corporation

Carlos R Chong a Professional Dental Corporation was paid $246K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.

33Billing provider infoCARLOS R CHONG A PROFESSIONAL DENTAL CORPORATION
ENCINITAS, CA 92024
33aNPI1154525590assigned 06/11/2007
33bProvider typeDental Clinic/Center
28Total paid$246K
24GClaims15,283
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Dental Clinic/Center providers in California

Rank by total paid#528 of 1,135
Median peer was paid$200K
This provider vs. median1.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20182,442$42K
20192,358$38K
20201,990$29K
20212,089$30K
20222,293$41K
20232,115$33K
2024incomplete1,996$34K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 35% 1,536 1,528 $87K
D0230 Intraoral - periapical each additional radiographic image 14% 8,397 2,211 $34K
D1120 Dental cleaning, childProphylaxis - child 11% 798 795 $28K
D0274 Bitewings - four radiographic images 6.8% 792 789 $17K
D1208 Topical application of fluoride, excluding varnish 6.7% 1,423 1,421 $16K
D0150 Comprehensive oral evaluation - new or established patient 6.7% 307 306 $16K
D0210 Intraoral - complete series of radiographic images 5.9% 328 327 $15K
D0350 5.3% 1,410 836 $13K
D1110 Prophylaxis - adult 3.5% 104 104 $9K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.3% 121 94 $8K
D4910 1.1% 36 36 $3K
D9430 <1% 31 30 $840.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCHONG, CARLOS (PRESIDENT)